What it is Chronic back pain?

It can be defined as chronic pain localized on the back. Pain is considered chronic the duration is more than three months. Chronic pain in the low back can be secondary to a disc problem, a joint problem, and/or an irritated nerve root.

What are the causes of chronic back pain?

There are several causes of chronic back pain. Some of them are:

Lumbar herniated disc. The center of a lumbar disc can break and as consequence can irritate a nearby nerve root.

Degenerative disc disease. At birth, intervertebral discs are full of water. As people became older discs can lose normal hydration and wear down. As the disc loses water, it cannot resist forces as well and transfers force to the disc wall that may develop tears and cause pain or weakening that can produce herniation. The disc can also collapse and contribute to stenosis of the spinal canal.

Facet joint dysfunction. There are two joints behind every spinal disc at each motion segment in the lumbar spine. These joints can be painful or can be painful in conjunction with a painful disk.

Sacroiliac joint dysfunction. The sacroiliac joint is responsible to connect the sacrum at the bottom of the spine to every side of the pelvis. The sacroiliac joint can become painful secondary to any inflammatory process or if there is less or more motion of the joint

Spinal stenosis. This condition usually produces severe pain. The reason for this pain is because the spinal canal became narrow and compress the nerve root.

Spondylolisthesis. This condition occurs when one vertebra slips over the adjacent one. There are 5 types but the most common is secondary to a defect or fracture of the pars or secondary to a degenerative process. The pain can be caused by instability of the lumbar spine or the compression of the nerves with a consecutive radiation of the pain to the leg.

Osteoarthritis. Spinal osteoarthritis is associated with age and is slowly progressive.

Deformity. The spine has natural curves. If one of them change the other one is going to change in a pathological way. The deformity can produce lower back pain if it leads to the breakdown of the discs, facet joints, sacroiliac joints or stenosis.

Trauma. Acute fractures or dislocations can produce back pain. In the case of trauma, the patient should be carefully evaluated by the medical doctor.

Compression fracture. A fracture that occurs in the cylindrical vertebra can produce acute pain. This type of fracture is most common due to the weakness of the bones, such as from osteoporosis, and is very common in older people.

How can physiotherapy help with treating chronic back pain?

There are several physiotherapist interventions such as exercise, manual therapy, and acupuncture considered appropriate treatment techniques to use in the management of patients with back pain. The exercises applied to depend on the severity and the cause of the back pain

The epidural corticosteroids injections are frequently used in situations of radicular pain. But the physiotherapy is very important as part of the management of a patient with back pain. Once the patient is classified according to age, type on injury or diagnosis, the Physiotherapy can lead the non-pharmacological treatment and management.

Back pain is usually caused by strain or tear of either tendon, muscle or ligament. A very common problem which known to affect one in three people each year, back pain can also be linked to poor posture and lack of exercise which results in the spine getting stiff.

Though not usually associated to any serious health problem, back pain, especially lower back pain has a negative effect on sleep, daily activities and even ability to work because the pain can be acute lasting from few days to months and sometimes years.

Symptoms of back pain

Inability to easily move the spine while bending forward and back.

Pain across the back with tingling sensation radiating downwards to the buttocks, upper legs and even feet- called sciatica

Change in posture or limp due to severe pain and spasm

Stiff back caused by the muscles around the spine having tense spasm.

Though the above symptoms mean that there might not be damage to your spine or that the back pain might not be caused by a disease, there are certain conditions which make it pertinent that you contact your doctor as it indicates a more serious problem. These may include

Inability to control bladder or bowel movements

Weakness in legs and unsteady feet

Constant pain even without movement

Numbness around the lower back and leg area

How to relieve back pain

Treatment usually depends on how long and how severe the pain has been. This is categorized as short term back pain and long term back pain.

Short term back pain relief

Staying active and moving on with the activities of the day, living within limits of your pain is beneficial to keeping the spine muscles strong and less likely to become stiff.

Hot and cold compression packs can be bought at pharmacies to ease back pain when placed on the affected back area.

Painkillers like Paracetamol and ibuprofen are effective in the management or relieve of back pain but may have side effects. It is thus important to contact the doctor to advice on the medication most appropriate for you.

Avoid bad posture while stooping, bending and lifting

Ensure that when resting or sleeping, it is done on a flat firm surface.

Regular exercise within the limits of your pain should be done on a daily basis. These may include swimming, walking, andexercise biking.

Long term back pain relief

Severe Back pain that has lasted for more than six weeks and is seriously affecting your ability to engage or carry out your daily activities should be treated by the doctor who will recommend several choices of treatment that include:

Group exercise classes to improve muscle strength and posture. It is well structured and tailored to meet your needs

Manual therapies which include physiotherapy or massages.

Acupuncture which has been proven to help relieve back pain through the insertion of fine needles in different points of the body.

Surgery is usually recommended as a last resort when all other treatment options were not successful. Though has risk of potentially serious complications which should be discussed with the patient before carrying it out.

While it may be possible to relieve back pain using the above guides, it is important to attend a specialist pain clinic that would help assess and treat your pain. At Kuer clinic, we are regarded as London’s leading pain consultants. We offer interventional pain medicine for all forms of back pain and sciatica and what’s more? Your records are completely confidential with us.

Call or visit our back pain help page today and we will be sure to make that back pain go away permanently.

If you are one of the many individuals suffering from chronic or acute pain, we know what you are going through, and we want to help.

We are a pain clinic looking to help patients in all the ways that we can and provide a brighter future for our patients.

A pain clinic such as KUER at Harley Street Physiotherapy is a facility that specializes in the treatment and relief of acute and chronic pain symptoms. We specialize in treating pain in specific parts of the body, and also in management of the pain itself. We also use tools such as physical therapy, acupuncture and medication to get you back on track.

No matter the situation, we have helped many individuals take control of their life, and we want to help you.

Our team is dedicated to finding tried and true solutions to your healthcare problems, as well as administering to your individual needs. We want tailor to you and create a treatment plan, so that your pain not only goes away, but does not come back again.

Depending on the type of pain and condition you are experiencing, we are able to provide medications, topical treatments, injections and surgeries to help you get back to the normal you.

We offer support and counselling, as well as techniques to manage your pain on a personal level, so that you never feel alone.

If you have arthritis or joint pain, our doctors are able to prescribe the most effective medication for the pain, as well as advise you in the best way to preserve your bones. While arthritis involves nearly 200 diseases that effect a total of 27 million adults, there are many treatment options and plans to help you cope and improve your joint pain. These problems can interfere with everyday tasks that you may need to perform, and we want to help you get back on track.

If it is back pain or spinal injuries you are experiencing, we have the surgery and physical therapy options to help restore your health. Did you know back pain is the leading cause of disability worldwide and the second most common cause for doctor office visits? We want to help you recover and continue to enjoy life. Our experts will diagnose your problem and get you the treatment you need right away to assist in problems in this region. Back pain may be a large issue, but it is nothing we cannot tackle together. We want to hear from you.

If you are suffering from knee pain, let us take a look. Our doctors are highly trained in the diagnosis and treatment of knee and joint problems. We can help your repair your knee through appropriate physical therapy and surgery, and we can recommend ways to prevent further damage in the future. The knee is the most commonly injured joints in young adults as well as athletes. Whether it is ‘Runner’s Knee’, a torn ligament or bursitis, we want to help find the treatment option that is perfect for you.

When your pain is getting you down, we want to help explain what exactly is happening with your body and why. We can introduce changes that will improve your lifestyle and identify stress that may be making things worse. Pain management options can lessen pain and often times eliminate pain entirely.

We take a thorough look at your problem and your medical history to determine why you may be in pain and what we can do to treat and prevent further pain.

When all is said is done, at the end of the day, we are all in pain. Let us help you with yours!

Back pain is experienced by everyone at least once in their lifetimes, whether you lead an active lifestyle or rarely exercise. However, despite its widespread nature, back conditions aren’t issues that you have to live with. Here we reveal the common back conditions that can make everyday activities a real pain and what treatment is available via back pain + sports medicine clinics like us.

Ankylosing spondylitis

Unlike many back conditions, ankylosing spondylitis is a chronic condition that requires continued treatment. The condition involves the inflammation of the spine causing pain, swelling, stiffness and fatigue. Whilst in many cases these painful symptoms get better with time, physiotherapy, painkillers (i.e. non-steroidal anti-inflammatory drugs, codeine and anti-TNF medication) and surgery can be accessed at a back pain + sports medicine clinic to relieve symptoms and restore spinal movement.

Slipped disc

Often referred to as a herniated disc, this condition can cause severe pain and weakness as the nerves become increasingly compressed and damaged. Common in people with poor posture and obesity, slipped discs can also occur in individuals that lead very active lifestyles, particularly those who practice weight bearing sports.

Visiting a specialist back pain + sports medicine clinic in Harley Street such as Kuer Physio will ensure you access the treatment you need to live life pain-free, with physiotherapy, osteopathy, chiropractic care and medication readily available.

Adhesive capsulitis

Also known as frozen shoulder, adhesive capsulitis causes pain and stiffness within the shoulder and can last for months and even years without the right treatment. Depending on the severity of your condition, which will be identified during diagnosis, a course of treatment can be administered. Early stage treatments however rely on a course of painkillers and corticosteroid injections to reduce pain and treat inflammation.

For those of us who have experienced knee pain, we know it is not a fun thing to endure. Knee pain is actually a very common problem and responsible for over 1/3 of doctor visits made a year. If you are experiencing swelling, pain when bending and straightening the knee and difficulty lifting heavy objects, you may be experiencing a degree of knee pain, and likely, a knee injury.

These pains are particularly common for athletes, due to the frequent use and wear and tear on this region. Many will come to know the term as ‘Runner’s Knee’ or ‘Jumper’s Knee’.While sprained ligaments and cartilage tears account for many of the problems associated with knee pain, several other conditions can occur to trigger this problem.

Here are a few others.

Bursitis is the inflammation of the sac that sits on top of your knee joint. Pain and swelling can occur when the bursa sac is overused, bent excessively or fallen on repeatedly. Those who kneel repetitively will often refer to this problem as ‘Housemaid’s Knee’ or ‘Preachers Knee’.

Illiotibial Band Syndrome is another possible culprit. This band, running from hip to the outer part of the knee, is a tough tissue, that when overused, can often cause pain or irritation.

Osgood-Schlatter Disease is a disease that is common in teenagers, both boys and girls, that causes knee pain. It occurs when the tendon that connects the kneecap to the shin is irritated. Again, this is caused by overuse or inflammation in the area. Petellar tendinitis is similar to this, and is often called ‘Jumper’s Knee’.

Osteroarthritis is a condition that occurs in those commonly over 50, and has to do with the bone in the knee, and will lead many adults to knee pain.

Patellofemoral pain syndrome is a condition commonly found in young girls, in which the muscle has an imbalance or the muscle around the knee is overly tightened.

A dislocated knee cap is another onlooker and can cause extreme knee pain, in that the kneecap literally shifts out of place.

Loose bodies in the knee may also cause pain. When cartilage breaks loose or is stuck it will cause the knee to freeze and swell excessively.

Now that we know some the culprits of knee pain, what can we do to treat and prevent these problems from occurring?

Many common forms of knee pain can go away with rest and relaxation. First and foremost, rest your knee. Applying ice and elevating the knee will help in recovery. When extra support is needed when walking or lifting heavy objects, use an elastic bandage to wrap the knee and prevent further injury. Anti-inflammatory medications will help with the pain.

If knee pain does not subside, it may be time to see your doctor, and possibly, depending on the severity of your case, request surgery to fix the problem.

After you have completed surgery, doctors will recommend how often to use and take care of your knee exclusively. Some may not be advised to walk or lift heavy objects for a period of time if they are able to avoid it.

Physical therapy and different types of stretching may be recommended to restore the knee to its original health.

When the condition lessens, or is taken care of, you can prevent further pain by taking care of your knees. Do this by stretching and resting the knee frequently. Also avoid lifting heavy objects until you are sure that your knee is completely healed. Even slight pressure may bring knee pain back.

Consult your doctor or speak to Mike Squirrell at KUER Physio for more information on knee pain and what you can do to find relief. Do not wait! Take care of your knee pain today!

If you or someone you love has suffered from joint pain, you know it isn’t pretty. Joint paint can result in either long term or short term aching or sharp jolts of pain in the joints. Joints are the connections between bones, and as you may assume, absolutely vital in everyday function. When one of these joints becomes injured, you are in for a world of hurt. Literally.

Many of the pain associated with these regions are actually caused by other diseases such as rheumatoid arthritis, osteoarthritis and general sprains and strains. Each injuries severity can range from somewhat bothersome to entirely debilitating. Depending on what is affected at the time and how far along it is in damage.

If you are experiencing inflammation, trouble with motion in the joints or tenderness in the joints, it may be time to seek a doctor or specialist who can help with arthritic or joint pain. These are all symptoms of joint pain in individuals. Some also have trouble bearing weight upon the joint. If you have experienced problems that occur for more than a week, it is likely that you will need a medical evaluation for your joint pain.

In order to treat this pain, you have in the region, the doctor will first attempt to figure out what is causing the pain and then attempt to treat the pain itself. You will be asked when the pain originally started, after what tasks, and the degree of pain you are experiencing. Bloods tests and X-rays will often be conducted to diagnose what may be wrong.

Arthritis is a big cause of joint pain in individuals. Over 22.7 million adults have some form of arthritis and 67 million will eventually be diagnosed with arthritis in their lifetime.

Here are some of the ways you can manage and prevent pain in your joints.

Some everyday activities you can do to improve your joint pain are to adjust your position frequently, take breaks periodically and walk around and avoid sitting for long periods of time if possible. Doing all these things will allow joints to move more and minimize stiffness.

Exercising frequently will ease some of your pain, but you must choose the right kinds of activities. Exercises that involved running, jumping or high impact aerobics can further damage to the joints.

Repeated movements and stress on the same joints can also worsen pain and damage. In addition, you can help with joint pain by managing your weight and smoking less. The extra weight you have may be very hard on joints and cause complications with arthritis. Smoking irritates connective tissue, leading to more pain.

If you are having trouble managing joint pain itself, you may choose to take over the counter medications or apply topical analgesics to reduce pain. Other common treatments involve relief through acupuncture, which involves insert needles into the site of the pain for relief, and applying hot and cold pads to aching areas. These items can also help minimize swelling. Both are great for minor to major pain in the joints.

You may want to avoid a few things.

First, do not downplay or avoid severe symptoms. Visit your doctor or speak to a specialist such as Mike Squirrell if symptoms worsen or are unbearable. Do not try to cope yourself.

Do not focus entirely on the pain of the injury, as this will really take an effect on your mood and health. Many experience depression.

You may want to talk to your doctor if you find your dependence on over the counter medications becoming excessive.

Joint pain is no fun for anyone, but with the right treatments and options, joint pain can become easier and more bearable.

Arthritis, characterized by inflammation of the joints causing painful stiffness and swelling is often regarded as a disease of older people. This is not true as it affects people of all ages, children inclusive.

It is estimated that about 10 million people are affected by arthritis in the UK out of which about 15,000 are children and young people while approximately 27,000 are below the age of 25.

Different types of arthritis

There are many types of arthritis but the two most common types in the UK are osteoarthritis and rheumatoid arthritis.

Osteoarthritis

This type of arthritis affects the cartilage lining the joint causing it to degenerate such that the bones in the joints rub together. The result of this is that movement becomes painful, stiff and difficult.

More than 8 million people are affected by this most common type of arthritis in the UK and it is known to develop in people over the age of 50, which is not to say that it cannot occur at any age.

Osteoarthritis can also be as a result of another joint related condition or injury and commonly affects the hands, spines, hips and knees.

Rheumatoid arthritis

Though not as common as Osteoarthritis, Rheumatoid arthritis is estimated to affect more than 400,000 people in the UK with about 12,000 cases diagnosed each year.

Unlike Osteoarthritis, Rheumatoid arthritis happens when the immune system attacks body tissues and eventually affects the joints causing pain, swelling and eventual change in the joint’s shape.

Rheumatoid arthritis can also affect internal organs as such people suffering from this type of arthritis have been known to develop problems with other tissues and organs of their body.

This type of arthritis is more common with women and often occurs in people between 40 and 50 years old.

What are the symptoms of arthritis to look out for?

It is important to visit a doctor for accurate diagnosis if you experience which include:

Joint pain, stiffness and swelling for more than two weeks

Inability to move the joints properly

Muscle weakness

Inflammation within and around the joint area which has not abated after two weeks.

Affected joint is warm with red skin patch around it

Certain risk factors have been found to be responsible for the development of arthritis.

What ages does arthritis most commonly occur in?

Although arthritis especially Osteoarthritis is known to affect people of all ages, children inclusive, about 70 percent of arthritis sufferers are above 65 years of age with its severity varying from person to person.

Arthritis is more common and severe in women than men and affects especially the hands and knees.

People who are overweight are also more prone to arthritis because there is more pressure on the joints due to additional weight especially at the hips and knee areas.

Daily activities whether at home or at work also is a risk factor, for instance, when doing a job that involves repetitive kneeling, it becomes likely that arthritis will develop in the knees

Finally, any damage caused by injury that might have seemed to completely heal sometimes reappears as arthritis later in life in the form of osteoarthritis

While there are many tips for living with arthritis, Arthritis sufferers are now being offered fresh hope to manage and cure Arthritis. At Kuer Physio Harley Street we understand how painful and restricting arthritis can be. We diagnose and offer interventional pain medicine for arthritis. We are not just your conventional clinic but are regarded as London’s Leading Pain Consultants. So give us a call today for that life changing solution to arthritis.

Disc referred pain is often characterized as achy and dull; it tends to vary in intensity while moving round the body. From the disc in the lower back, it may radiate into, the buttock, groin, upper thigh and pelvis.

What causes disc referred pain?

This kind of back pain is caused by injury to the disc or to any of the interconnecting sensory nerves of the lower back. A typical example of a disc referred pain is the degenerative disc disease ‘dehydration’which can cause referred pain to the posterior thighs and hips.

What is disc dehydration?

Dehydration begins to occur at the region of the intervertebral discs as age sets in. In other words, the disc will begin to degenerate while an unusual loss of water, inflexibility that only allows for small movements will be experienced. As a result of these effects, pain can be caused from the disc which may even extend downwards to the legs. This is known as degenerative disc disease, a form of disc referred pain.

Low back pain, foot pain, and leg pain are primary symptoms of disc referred pain. Apart from these common symptoms, there are other common examples of referred pain such as arm, neck or shoulder pain which are caused majorly by heart attacks and because the brain can no longer be determined where exactly the pain is coming from, the pain will be felt more vaguely in several areas of the body. Referred pain which is poorly localized is typically characterized by dullness and ache.

Referred pain can be very difficult and complex to accurately diagnose and treat effectively. The spine, which has got a marvellous anatomical structure, function and form, is a part of the body that is vulnerable to injury. The reason for this is that it is subject to twisting, and torque which are strong forces that can cause back pain. Some others include sudden jolts and regular stress such as may be from poor posture. All these can tell on the disc space which is a major cause of back pain.

So as a result of an intervertebral disc problem, pain can be felt in another part of the body. This is what disc referred pain is all about. For instance, if a patient is suffering from a herniated disc problem or has a bulging disc in the lumbar spine (low back) referred pain can be experienced in the leg. This kind of problem is known as sciatica or lumbar radiculopathy; it is a kind of a shooting pain that radiates from the buttock to the leg and even to the foot at times. It often affects only one leg.

Treatment of Disc Referred Pain using Physiotherapy

For the treatment of disc referred pain, it is important that a professional specialist is contacted whose job is to perform an accurate diagnosis of the root cause of the problem so as to be able to determine the appropriate treatment plan to forestall.

Generally, a non-surgical care method can be used to treat disc referred pain. As soon as the cause of the referred pain is discovered a nonsurgical treatment option can be employed. This includes, the use of ice packs or hot pads, engaging in active exercise and stretching as a form of physical therapy and the use of appropriate medications for pain relief. It is important that a day or two be set aside for a short period of rest during this period.

Why not contact KUER Physio today. Physicians are available to take a thorough medical history, discuss the symptoms, carry out physical examinations and conduct a diagnostic test so as to proffer an effective solution to the pain.

Workplace accidents happen every day, it could happen big, grabbing the attention of everyone or it could be minor, causing only little damage; it could also happen in ways that are not readily noticeable, for example, posture accidents due to sedentary working positions.

No matter the mode in which in happens, accidents always take their toll on different parts of the body, thereby jeopardizing the well-being of the individual.

Back injuries can be caused by several factors or events occurring daily at work; ranging from falling to sustaining a hit to the back; it could also be as a result of bad posture while carrying out activities such as lifting heavy objects, sitting, standing, stretching (when necessary and when it is not). No matter which way leads a person to sustaining such an injury, here are a few tips that will help to manage the situation properly.

It is important to understand first of all, thatkeeping a health condition hidden does not help anybody, not the sick person, or their workplace (which essentially becomes a handicappedteam). It is important to disclose injuries (especially those sustained at work) to the employers. Back injuries are very critical, the back houses the spine which, needless to say, must be treated with care.

It is also worthy of note, that it is not very wise to try to work through a back injury. As the result is with any other ailment, it can only get worse; leading the sufferer to go through more pain, incur more medical costs, increase the propensity to make mistakes that could endanger other workers as well as affect productivity adversely among other things.

Having stated the obvious, back injuries need to be treated immediately it is discovered and by experts too. The discomfort that results from it is enough to prompt a search for treatment, but not just any kind of treatment will do. Again, the back is very sensitive and injuries to it, if not properly handled, could have very bad effects on every aspect of the injured person’s life; as such, not just any kind of treatment will suffice, but proper specialists should be contacted.

The do’s and don’ts of self help treatment for back injuries

Although Do-It-Yourself treatments might be easy to access as well as cheaper, they are not nearly as effective as treatments administered by trained professionals. DIY treatments are based on a number of assumptions that may not entirely be true. Only when properly diagnosed can it be narrowed down form the multiple possible natures the back injury may take.

Victims of back injuries need to help themselves by taking treatments prescribed by their doctors, and most as well adhere to rest periods suggested. If a complete recovery is to be made, doctors’ instructions have to be followed to the letter. Flouting them will only lead to more complications and increase the amount of time it would take to recover.

Another very important way to manage back injuries is to ensure full recovery before making a return to work. There is absolutely no need to endanger an already injured back by exposing it to stress (even if you decide to work safe). Some lines of work (construction for example) can increase the possibility of damaging the back again, even with “light” work. The only green light to return to work is the doctor’s words and nothing less, no matter how well the injured person is starting to feel or how much the pain has gone down, the doctor is the authority and his/her words carry all the weight.

Finally, it is important to warn that safe practices are not negotiable, they should be adhered to in order to prevent the re-occurrence of injuries that have healed, and regular checks are also necessary to ascertain the level of long term damage (if any) caused by the injury.

Close to 30% of all disability cases in the UK are due to back pain and other musculoskeletal conditions, determining the cause and acquiring the proper treatment is imperative to discovering what treatment is necessary to bring not only relief from the back pain, but ultimately bring a complete recovery. Those suffering with back pain must determine whether or not seek out a diagnosis through their GP or to seek out a private back pain clinic in London.

Not many people suffering from back pain wish to live their lives having to take painkillers for an extended amount of time or in some cases potentially the rest of their life. Most painkillers come with the hazard of sometimes serious side-effects. Narcotic painkillers are risky because they often lead to addiction. Finding the answers and help they need can sometimes be difficult.

Whether or not an X-ray is needed to diagnose back pain is something that ultimately needs to be assessed by a patient’s doctor. A thorough initial consultation with a physician who specializes in back pain and musculoskeletal conditions should be the first step.

Back pain caused by muscle strain will probably not require any kind of X-ray, as the back pain from staining back muscles are typically easy to diagnosis by simply by asking the correct question. Those suffering back pain radiating from an unknown origin become depressed and at time even powerless in their ability to complete the simplest of tasks. Something as typical as lifting up a child or grandchild to give them a hug, carrying out routine household tasks, tending to a cherished garden, etc. Those things that give purpose and meaning in having quality of life.

Different types of back pain in detail

There are numerous types of back pain ranging from shooting pain in the back that can go into one or both legs, a burning pain generating from one particular area in the back, or a hot more intense burning pain radiating from the upper, middle or lower back. Even though it’s in most cases for the back pains because being due to a serious ailment or serious damage, without proper diagnosis it’s difficult to discover the cause.

Do I need an x-ray?

To learn whether or not a person needs an X-ray to diagnose or assist in diagnosing their back pain will begin with the answering of some general questions from their health care professions. What kind of lifestyle the person has, what kind of tasks do they perform at their place of employment, when did the pain start, how long has the back pain been around a problem, has the patient been in any serious accidents, etc.? Next the physician will examine the patient to determine their capacity to sit without difficulty, to stand for a long period of time or what their ability is when lifting their legs. He will test their range of movement within their back, are awkward movements the source of pain flare-ups and so on.

After these inquiries are sufficiently explored, the level of pain experienced, the inability to sit, move or stand will then be measured. After the examination the physician will then determine of having and X-ray is the next step of the process to gain a diagnosis. There are also some ‘red flags’ that would immediately require not only an X-ray but blood tests. If the patient has recently suffered an onset of bladder dysfunctions, suffering leg weakness, numbness between the inner thighs or back pain that has been ongoing for more than a month and when the patient has had back surgery previously.

The KUER for back pain?

The best course of action is to contact a back pain clinic that specializes not only in back pain but one who also offers all the needed tests including x-rays within their clinic. Harley Street Physiotherapy is located in London and they have a great reputation for being able to help those suffering from all types of back pain. Call Kuer Clinic today to find out if getting an x-ray to diagnose your back pain is needed, will also provide assistance to manage your pain.

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Exceptional service! Rugby injury on my knee 2 weeks ago put me out of action. I was recommended by a friend who had great results from Mike and Laura so I booked in immediately. Clinic is easy to find and they have a lift which really helped as when I went I was on crutches. Very friendly and reassuring and the top guys around for sports injuries.

Mike is the first person I go to when ever I am in pain. His help over the years has been nothing but exceptional. I would highly recommend if you have any type of back pain or such and need fast results.

Trapped nerve problem gone! I recently started to try and get in to shape by taking up martial arts and after years of prolonged poor posture problems (incorrect seating position at work) it finally caught up with me. I woke up with a dead arm and panicked a little if I'm honest and had a sharp pain in my neck and shoulder. I immediately spoke to my GP who said they could refer me for Physiotherapy but it would be at least a week before I was given an appointment date. I turned to Google and found Kuer Physiotherapy Clinic and called up. I got an appointment the same day and called in during my lunch break. I was impressed with the clinic itself and hope easy it was to find, the receptionist offered me a drink and said that I would be going in a few minutes. I met with Laura (my physio) who gave me a full examination and I explained that I was probably at fault but also had recently the week before been in a road traffic accident. Diagnoses with a few different issues, 1 from the terrible seating posture and years of neglect and the other from the accident. I have never been to a physio before but have seen chiropractors on a few occasions. I never found chiropractic to be as successful or immediate but had worked in the past. With the Physio treatment after the first session alone and something literally clicked and the pain subsided massively. I have now had 3 sessions and I feel as good as new. But rather than leave it there I have booked in for a follow up health check in 4 weeks time to make sure things are as they should be. I wasn't aware of the damage sitting badly could cause and have taken their advice or re-arranging my workstation, which is already making a big difference. I cannot recommend enough the team at KUER and their expertise. I do not only recommend anyone else to go see them but I will not be going anywhere else in future. 5stars!

I first came across Mike Squirrell about 7 months ago after looking online for someone to help me with my neck. After the first session the pain has subsided massively and within the next 2 sessions i felt no pain whatsoever. For anyone looking for an answer to pain I would highly recommend Mike.

Mike has been treating me for over 2 years on an off and I won't see another physio when I am in London. I cannot express how thankful I am for all his help with my back over the years. Wonderful service!

I've had the best physiotherapy I have ever had for both my neck and knee issues from this clinic. Has sorted constant knee pain from multiple marathon training schedules and neck/back pain that went on for years. They come fully recommended from me.

Just returned from my first visit to this practice, having recently had some appointments with a physio nearby. I was seen by Sam, and I was extremely impressed. I left feeling a lot better, and he gave me a very precise, detailed account of my problem. It's expensive, but I couldn't really recommend it more strongly on the basis of a first appointment.